Finance Manager

Madison Regional Health System • Madison, South Dakota • Full Time • $8–$8 / hour

Posted on Tue, Sep 22, 2026

Madison Regional Health System is seeking a full-time Finance Manager to join their team.

The Finance Manager will report directly to the CFO and will be responsible for the supervision of all general accounting functions; working closely with senior management, directors, and managers on a regular basis regarding financial analyses, revenue recognition, and budget accountability reporting. Responsibilities include but are not limited to all month-end processes including preparation and review of monthly financial statements, as well as assist with annual budgeting, audits and cost report processes.

Bachelors in Accounting or Finance required, Master's in Accounting, Finance preferred. Willing to work with successful candidate in obtaining this advanced degree. Previous experience in healthcare accounting preferred. Minimum of 2 years financial/accounting/revenue cycle progression preferred.

Strong interpersonal skills to establish and maintain, tactful, effective working relationships will all levels of MRHS staff. Must be able to demonstrate ability to think outside the box, problem solve, and embrace rapid change.

This position will be Monday-Friday 8am-5pm with potential evening hours. Full-time positions come with Madison Regional Health System's benefits package and a competitive salary. MRHS offers retention pay to individuals who have worked at the facility for greater than one year.

This institution is an equal opportunity provider and employer.

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